C.K. is a 37 year old female admitted to your unit for shortness of breath
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A 38-year-old man comes to the physician because of a 6-month history of shortness of breath with exertion and nonproductive cough. He has smoked one-half pack of cigarettes daily for 20 years. There is a family history of respiratory disease. He is 178 cm (5 ft 10 in) tall and weighs 59 kg (130 lb); BMI is 19 kg/m2. His pulse is 80/min, respirations are 18/min, and blood pressure is 105/90 mm Hg. Physical examination shows no cyanosis. A chest x-ray shows hyperinflated lungs with a flattened diaphragm. Serum studies show a markedly decreased a1-antitrypsin activity. As this patient's disease progresses, which of the following pulmonary findings will most likely decrease? A) Closing capacity B) Diffusing capacity for carbon monoxide C) Functional residual capacity D) Pulmonary vascular resistance E) Residual volume F) Total lung capacity
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D. D. is a 66-year-old female suffering from shortness of breath. She smoked 2 packs a day until she quit 2 years ago. She has a history of bronchiolitis, hyperinflated lungs, pulmonary edema, and syncope. Her primary care practitioner suspects she also has pulmonary hypertension (PH). After examination, D. D. has a PAP of 35 mmHg and mild CHF.
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A 68-year-old obese woman presents with a markedly decreased level of consciousness. She was found in bed by her husband. Your primary assessment reveals that her respirations are slow and shallow, her pulse is slow and weak, and her skin is cold and dry. According to the patient's husband, she has had a recent infection, but he cannot remember what the doctor called it. You should be most suspicious that this patient is experiencing.
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